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English proficiency test results are required, pre-enrolment, for all students who are not a national of a majority English-speaking country (see www.gov.uk/ukvi). Have you taken a recognised Secure English Language Test?: Yes No If yes, please enter the test name and your overall score in the corresponding pink box below and your individual listening, reading, writing and speaking scores in the relevant orange boxes, if applicable. If you have not taken a recognised English language test, you can still apply and we will make you an offer with the condition that you have the result of a Secure English Language Test before you submit your visa application.

Name of test: Overall score:

Speaking: Listening: Reading: Writing:

3. English language proficiency

Family name or surname (as on passport):

First name (as on passport):

Middle name(s):

Gender: Male Female

Date of birth (dd/mm/yyyy):

Will you be under the age of 18 when your programme is due to start?:

Yes No

Email address (compulsory):

Home address:

Postcode: Country:

Telephone:

Mobile:

Parent / guardian / next of kin name:

Parent / guardian / next of kin telephone:

1. Contact details

Nationality:

Passport number:

Secondary nationality (if applicable):

Secondary passport number (if applicable):

Have you previously been granted a visa to study in the UK?: Yes (please provide further details) No

Have you previously been refused a visa to study in any country?: Yes (please provide further details) No

Address for correspondence (if different from your home address):

Postcode: Country:

Telephone:

Mobile:

Relationship to student (e.g. Father):

Parent / guardian / next of kin email:

1. Fill in all sections of the form.2. Attach certified copies of academic transcripts and exam results (translated if not in English) and Secure English Language Test results if you have them.3. Send to Kaplan International Colleges (see page 3 of this application form for details).

Application to pre-sessional programmes at Bournemouth University International College

BU conditional offer holdersIf you need to first improve your language skills before starting a degree. Please specify the conditions as written on your BU offer letter:

Please choose a pre-sessional programme:

Pre-sessional English with Study Skills improve your language, academic and study skills (from five to 39 weeks, depending on your level of English)

Pre-sessional English (Fast Track) improve your English language skills ready for university study

Pre-sessional programme start date:

BU unconditional offer holdersIf you already meet the English and academic entry requirements for a degree. Please choose a pre-sessional programme:

Bachelors Enhancement Programme enhance your English and academic skills before starting your undergraduate degree at BU

Choose a start date and programme length: July (six weeks) August (three weeks)

Masters Enhancement Programme enhance your English and academic skills before starting your postgraduate degree at BU

Choose a start date and programme length: July (six weeks) August (three weeks) November (six weeks) January (two weeks)

2. Your offer to study at Bournemouth University (BU)

BU degree course:

BU applicant number:

Intake / year of entry to BU:

How will your studies be financed?: Unknown Self / parents Sponsor

(please specify name of sponsor)

International College

www.bournemouth.ac.uk/international-college 1

www.bournemouth.ac.uk/international-college

I declare that the information I have supplied on and with this form is complete and correct. I understand that Bournemouth University International College may need to process and store my information in countries outside the UK (and not subject to UK Data Protection laws), such as the USA or other countries where we have offices or service providers. I consent to the transfer of my information to these other countries. I understand that the giving of false or incomplete information may lead to the refusal of my application or cancellation of my enrolment. I have read, understood and agreed to the terms and conditions of Bournemouth University International College, as outlined on the Bournemouth University International College website.

I undertake to pay the fees incurred as they are due and understand that the fees for Bournemouth University International College may increase. I authorise Bournemouth University International College to supply any relevant data to Bournemouth University and to supply official records of my progress at Bournemouth University International College to my parents, guardian, sponsor or their nominee.

I can confirm I have read, understood and agree to the declaration above: Yes No

Name: Date:

To be completed by the applicants parent or guardian if the applicant is under 18 years of age:I confirm I have read, understood and agree to the declaration above on behalf of the applicant: Yes No

Name: Date:

9. Declaration

Do you have any criminal convictions in any country excluding spent convictions and minor motoring offences?:

Yes No If yes, you might be required to provide details.

4. Declaration of criminal record

How many years of full-time work experience do you have?:

Please describe the most recent full-time position you have had which lasted at least 12 months. Any previous work history should be included by attaching an extra sheet or CV to your application.

Employer:

Dates (fromto):

Main responsibilities:

5. Employment history

Do you have an educational agent?: Yes (please provide details) No

Agent name:

City:

6. Agent information

Do you have comprehensive travel and health insurance?: Yes No If yes, please submit a copy of your insurance policy document.

If no, we will contact you with more information about Kaplan Care insurance once your application has been accepted. Comprehensive insurance for the duration of your studies is compulsory. Failure to disclose relevant medical information might affect the validity of your insurance policy.

7. Insurance

Bournemouth University International College is committed to equality of opportunity and aims to provide an inclusive learning environment for students with special needs or disabilities. In order to help us best support you, please provide as much information as you can on your particular needs.

Do you have any medical conditions?: Yes NoIf yes, please give details of any medical conditions or allergies that require attention or notification and any prescribed medication taken regularly (this will not affect your application to Bournemouth University International College):

Completion and signing of this form gives Bournemouth University International College permission to administer first aid by trained staff first aiders if required.

Do you consider yourself to have a disability? Specify below: No disability Physical impairment or mobility issues such as difficulty using your arms, or using a wheelchair or crutches

Blindness or serious visual impairment uncorrected by glasses Deafness or serious hearing impairment Long-standing illness/health condition such as cancer, HIV, diabetes, chronic heart disease, epilepsy, asthma or sickle-cell anaemia

Specific learning disability such as dyslexia, dyspraxia or ADHD Mental health condition such as depression, schizophrenia or anxiety disorder Social/communication impairment such as Aspergers syndrome or other autistic spectrum disorder

Disability, impairment or medical condition that is not listed above

On a separate sheet please provide further details of the nature of your disability and the support you would require. We ask that you include as much as information as possible. Please note that failure to disclose relevant medical information might affect the validity of your insurance policy.

Bournemouth University International College will ensure all personal data enclosed will be used only to plan appropriate support, and might need to disclose appropriate and relevant details to partner universities to facilitate this process.

I agree to appropriate, relevant details being used in this way.

8. Medical information

Please check you have supplied all the required information in this check-list:1. Complete all sections of the application form Yes2. Confirm you agree to the declaration above Yes3. Attach certified copies of academic transcripts and examination results (with certified translations if not in English) and Secure English Language Test results Yes4. Send your application and copies of supporting documents specified in part (3) to your Kaplan representative, the Application and Admissions Centre, your Personal Education

Planner or your nearest Kaplan International Colleges country office.

10. Final checklist

Bournemouth University International College is operated by Kaplan Bournemouth Limited, registered address 2nd Floor Warwick Building, Kensington Village, Avonmore Road, London W14 8HQ, UK.

Bournemouth University International College

www.bournemouth.ac.uk/international-college 2

www.bournemouth.ac.uk/international-college

Apply using the application form

Complete all sections of the attached application form.

Read and understand the terms and conditions available at: www.kic.org.uk/pathways/terms

Scan in or photocopy the required additional documents. Please note, you can still apply if you do not have your academic transcripts or SELT results. We can make you a conditional offer, the conditions of which you will need to satisfy before applying for a visa:

Your Secure English Language Test results Your academic transcripts and exam results Certified translations if the originals are not in English

Sign the application form to confirm that you have provided the correct details and that you agree to the terms and conditions.

Attach additional documents to your application form.

Send your application and additional documents to one of the following. See to the right for contact details:

Application and Admissions Centre Your Personal Education Planner Local KIC country office Your local Kaplan representative

You will receive an admissions decision by email within 48 hours of us receiving your application form and supporting documents.

How do I apply?

Apply online

Apply online to receive the expert advice of one of our Personal Education Planners:www.kic.org.uk/bournemouth/application-form

For help with your application

Application and Admissions CentreKaplan International Colleges2nd Floor, Warwick BuildingKensington Village, Avonmore RoadLondon W14 8HQ, United KingdomTel: +44 (0)20 7045 4925Email: internationalcollege@bournemouth.ac.ukWeb: www.bournemouth.ac.uk/international-collegeOr contact a KIC country office in: Abu Dhabi China Colombia Hong Kong India Korea

Mexico Nigeria Singapore Venezuela Vietnam

For your local KIC office contact details, visit:www.kic.org.uk/pathways/office

Secure English language test

As defined by UK Visas and Immigration (UKVI), SELT results are required for all international students who are not a national of a majority English-speaking country.For an official list of recognised SELTs, please visit: www.gov.uk/ukvi

Our global team of multilingual advisors are here to help you through the application process, with expert support at every stage.

Bournemouth University International College

www.bournemouth.ac.uk/international-college 3

http://www.kic.org.uk/pathways/termsmailto:%20internationalcollege%40bournemouth.ac.uk?subject=http://www.bournemouth.ac.uk/international-collegehttp://www.gov.uk/ukviwww.bournemouth.ac.uk/international-college

SELT?: OffName of SELT 2: 3: overall: 3: Speaking: 3: Listening: 3: reading 2: 3: writing 2: 1: Family name: 1: First name: 1: Middle names: gender: Off1: Date of birth: Under 18: Off1: Email: 1: Address: 1: Postcode: 1: Country: 1: Telephone: 1: Mobile: 1: Next of kin name: 1: Next of kin telephone: 1: Nationality: 1: Passport number: 1: Secondary nationality: 1: Secondary passport: granted a visa: Off1: Granted visa: visa refusal: Off1: refused visa: 1: address for correspondence: 1: postcode 2: 1: country 2: 1: telephone 2: 1: mobile 2: 1: relationship: 1: kin email: 2: conditions: start date1: degree 22: applicant number 23: year of entry 44: sponsor5:

2: PSE Study skills: Off2: PSE Fast track: Off2: BEP: Off2: July: Off2: August: Off2: MEP: Off2: July 2: Off2: August 2: Off2: November: Off2: January: Off2: unknown: Off2: Self: Off2: sponsor: Offagree to declaration: Off9: name: 9: date: guardian declartion accept: Off9: name 2: 9: date 2: Criminal convictions: Off3: Speaking 2: 5: employer: 3: dates: 5: main responsibilites: agent?: Off6: agent: 6: City: medical insurance: Off8: medical: Off8: medical conditions: No disability: OffPhysical impairment: OffBlindness: OffDeafness: OffLong-standing illness: OffSpecific learning disability: OffMental health: OffSocial/communication: Offother disability: Offagree to data usage: OffChecklist 1: OffChecklist 2: OffChecklist 3: Off